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<br />1.,."..... 0': <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRIfILLS <br />BUILDIHG DEPARTItENT <br /> <br />\, A ~TeJ.--. <; r 6N II <br /> <br />OWNER'S NAHE I NleA-"'.D >OtJrff~ P('2IJPaz:rtt:SmONE..,t07 -&,7( -)~lf5 <br />OWNER'S ADDRESS SS07- LA:~ ffO tAl GtL l2-P~ Wl NrefZ- PAl2-t'. Fc.. ( <br />JOB ADDRESS 71-oS- oAt..<-- 13\.-\lP.- ' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIONffi6lUbfPr~1> S&... <br /> <br />PARCEL 1. D.' <br /> <br />WORK PRO.POSED:~New Construction <br /> <br />LuAfL ~ <br /> <br />---....Addition _Altecation ----.Jtepair -AIostall <br /> <br />_Hove <br /> <br />---PeIIOlish <br /> <br />PROPOSED USE: <br /> <br />Single F88ily <br /> <br />---111 F <br /> <br />_' of Units <br /> <br />---"'I H <br /> <br />~eo..ercia1 <br /> <br />_Indust. _Swia. Pool <br /> <br />Other <br /> <br />Restaurant & Heal.th Departaent Approval <br />, <br />BUILDING SIZE: 3-0 X <;~Qrz.e,F(2.0~ Squace Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COttKERCIAL <br /> <br />AD'ACH (2) PLOT PI.ANS & (2) SETS OF BUlIJ)IHG PLANS & (1) SET ERERGY~, . <br />AtTACH (3) SETS OF BUILDIHG PLANS & (1) SET EN~ f.IIJi~ I E:::: ~ <br />PROPERTY SURVEY REQUIRED FOR ALL fiRW CONSTRUcrioB. fJl2..$:dh'-T /5 t)~~ <br />f1.UJd~i-J) 3D ~? r~ . <br />PERKlTS RHO~ED ~. . 0 f 1..u+U- -S l ~ <br />I (,,'30.CC> Valuation of Total coos.....,~.- I;' ~/ll3- t/5 <br />t' <br />W.R.E.C. <br /> <br />$. <br /> <br />~ ?-\t\ ' <br /> <br />~BUllJ)ING <br /> <br />_ELECTRICAL ~AnP Service <br /> <br />Florida Power Corp. <br /> <br />---.JtEGlWiICAL <br /> <br />$ <br /> <br />Valuation of Hecbanica1 Installation <br /> <br />_PLlJKBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />COthe~ ~I~, uiJ <br />11 7; <br />IS PROJECl' IN FLOOD ZONE AREA? C!2.2/3/' ILl <br />YES ' NO <br />***..**..****..*......******..*****..********It***lt " -"""\ <br />(8!) q L-{ t ,. :2- -;;':.0'-0 <br />CONTRActOR SECTION 3 <br />gUlLDER ~. ~ COIIPABY r.e $16N $- AW ~ 11M' aJ. <br />State Cert. or Regist. , <br />Signatur City License Registration . <br />~ ~****..lt*..**..*........*......*******....****.****..*lt <br /> <br />TYPE OF GOaSTRucnoN: <br /> <br />---.JUock <br /> <br />--Fraae _Steel <br /> <br />FIIfISBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br /> <br />RI,P.CIR1GIAB <br /> <br />COItPANY <br />State Cert. or Regist. , <br />City License Registration , <br />It.*~........*****..****..***....**t*ltlt**...***** <br /> <br />SilmA ture <br /> <br />PLUMBER <br /> <br />COfIPANY <br />State Cert. or Regist. , <br />City License Registration . <br />**....*....*It*.*******.*******.********.***lt*. <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />cottPAHf <br />State Cert. or Regist. . <br />City License Registration , <br />.**It.*.*...***....***.**..**..***..*.*******. <br /> <br />Signature <br /> <br />OTHF.R , <br /> <br />COHPANY <br />State Cert. or Regist. , <br />City License Registration , <br />ltlt*lt.*.....*****.....**lt****.lt***..*........******* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />